RFP #2019-17 Addendum #3 – Pharmacy and Provider ...

Orange County & Orange County Public Schools

Request for Proposal: Medical, Dental, Vision, Reinsurance

RFP #2019-17

Addendum #3 – Pharmacy and Provider Disruption Report Required

Wednesday, April 3, 2019

The following changes/clarifications/responses to the above Request for Proposal are hereby

incorporated into the proposal documents.

1) Please provide a report showing the top 100 utilized medications by number of paid claims and

number of scripts for the most recent 12 months

a. Please see the attached document. You are required to complete both sections (see

tabs 1 and 2) and include in your response to the RFP.

b. If you need a copy of this document in excel format, for completion, please contact

Jennifer France at: [email protected]

2) Please provide a report showing the top providers utilized by paid claims amount, and number

of services.

a. Please see the attached document: Orange County and Schools Provider Disruption

Report. You are required to complete the last column of this report, indicating

whether the providers are in your network or not. Please include this in your

response to the RFP.

b. If you need a copy of this document in excel format, for completion, please contact

Jennifer France at: [email protected]

_____________________________________________________________________________________

Print Name & Title of Authorized Person: _____________________________________

1

Signature of Authorized Person Submitting Proposal: ______________________________________

Date: ______________________________________________

RETURN THIS PAGE

2

NDC # Clms Paid Amount BRAND_NAME

51167080901 7 159,491.25 ORKAMBI

00074433902 10 89,350.42 HUMIRA PEN

57894006103 4 81,950.81 STELARA

64406000602 8 60,056.40 TECFIDERA

58406043504 9 44,474.94 ENBREL

50242013801 9 36,397.98 ACTEMRA

58406044504 7 34,591.62 ENBREL SURECLICK

00032122407 3 31,849.47 CREON

00069050130 7 29,236.90 XELJANZ XR

50242010040 7 24,375.82 PULMOZYME

00088221905 36 22,634.57 LANTUS SOLOSTAR

00002751001 30 22,526.79 HUMALOG

00169406013 17 16,447.10 VICTOZA 3‐PAK

00003089421 35 15,169.30 ELIQUIS

00173069600 35 14,422.38 ADVAIR DISKUS

61958190101 4 12,328.24 GENVOYA

00597015230 25 11,561.00 JARDIANCE

00131247935 7 11,554.47 VIMPAT

00002144511 2 10,630.34 TALTZ AUTOINJECTOR

61958070101 3 10,442.17 TRUVADA

00002879959 15 8,921.43 HUMALOG KWIKPEN U‐100

65862092127 5 7,944.43 SEVELAMER CARBONATE

00006027754 11 7,488.14 JANUVIA

00186037020 23 7,290.31 SYMBICORT

71800063115 2 7,069.62 LIDOCAINE‐TETRACAINE

00002143380 9 6,682.86 TRULICITY

00173064460 2 6,247.34 LAMICTAL

00378702393 3 5,987.97 ACITRETIN

66993066430 49 5,775.80 DULOXETINE HCL

00186077760 9 5,145.72 BRILINTA

00002143480 3 5,134.75 TRULICITY

00173072020 13 5,056.50 FLOVENT HFA

54092060601 8 4,865.51 XIIDRA

00173088210 14 4,642.26 BREO ELLIPTA

00088222033 7 4,624.92 LANTUS

64764024060 13 4,554.45 AMITIZA

67877026218 22 4,533.11 RIZATRIPTAN

65597090230 7 4,384.89 WELCHOL

17772010330 6 4,170.84 TROKENDI XR

00597015330 5 4,156.14 JARDIANCE

00173069500 13 3,981.25 ADVAIR DISKUS

51248015001 10 3,970.98 VESICARE

69097083512 73 3,960.32 SERTRALINE HCL

00169406012 7 3,954.85 VICTOZA 2‐PAK

66993087778 4 3,923.95 CALCIPOTRIENE

00310651201 2 3,828.28 BYETTA

3

00078077767 3 3,777.46 ENTRESTO

16729028110 2 3,697.98 ARIPIPRAZOLE

00093742698 84 3,655.90 MONTELUKAST SODIUM

60505252703 4 3,635.96 MODAFINIL

00173064255 4 3,475.52 LAMICTAL

10370010250 35 3,416.49 BUPROPION XL

70377000712 17 3,394.79 ROSUVASTATIN CALCIUM

64764017530 13 3,133.65 DEXILANT

00299382345 6 3,125.30 SOOLANTRA

59417010310 9 3,109.66 VYVANSE

00069046956 5 2,988.44 CHANTIX

65597070118 2 2,984.43 WELCHOL

00046087221 9 2,944.26 PREMARIN

00378251278 2 2,923.38 CAPECITABINE

49502010202 9 2,893.05 EPINEPHRINE

59417010510 10 2,829.60 VYVANSE

49884033601 14 2,785.08 FLUOXETINE HCL

00131248035 1 2,712.44 VIMPAT

10370010150 29 2,688.57 BUPROPION XL

66993066330 8 2,671.41 DULOXETINE HCL

00173068220 69 2,670.64 VENTOLIN HFA

00173085910 8 2,652.72 BREO ELLIPTA

53885024510 12 2,636.65 ONETOUCH ULTRA BLUE TEST STRP

00173069700 5 2,592.80 ADVAIR DISKUS

00006027731 8 2,553.56 JANUVIA

00006011231 2 2,544.84 JANUVIA

50458057990 6 2,483.94 XARELTO

00093831118 5 2,446.89 ELETRIPTAN HBR

00378334053 10 2,405.34 XULANE

00378877035 9 2,363.02 ESTRADIOL

59417010410 8 2,353.68 VYVANSE

00093555101 6 2,340.54 DEXMETHYLPHENIDATE HCL ER

00006027782 2 2,262.64 JANUVIA

00169368712 5 2,261.02 LEVEMIR

00555901658 57 2,249.34 SPRINTEC

00469260130 7 2,216.61 MYRBETRIQ

65162022621 9 2,194.66 YUVAFEM

00007337113 8 2,134.10 COREG CR

64764075030 6 2,103.72 TRINTELLIX

00378395077 33 2,006.67 ATORVASTATIN CALCIUM

12496120803 10 2,003.24 SUBOXONE

00186504031 8 1,979.92 NEXIUM

00456120230 5 1,900.90 LINZESS

47335027641 6 1,898.04 SUMATRIPTAN SUCCINATE

69097083412 112 1,888.72 SERTRALINE HCL

68180032002 10 1,855.85 BUPROPION XL

00093758156 1 1,848.99 ARIPIPRAZOLE

4

13811070610 8 1,831.92 METHYLPHENIDATE ER

50742015390 2 1,817.98 MODAFINIL

00006057761 3 1,775.82 JANUMET

68462064693 7 1,757.25 ASHLYNA

00093738698 31 1,755.91 VENLAFAXINE HCL ER

00131247835 2 1,708.94 VIMPAT

00069046903 4 1,700.68 CHANTIX

5

LABEL_NAME # Members Tier

ORKAMBI TAB 200‐125 1

HUMIRA PEN INJ 40MG/0.8 2

STELARA INJ 90MG/ML 1

TECFIDERA CAP 240MG 1

ENBREL INJ 50MG/ML 1

ACTEMRA INJ 162/0.9 1

ENBREL SRCLK INJ 50MG/ML 1

CREON CAP 24000UNT 1

XELJANZ XR TAB 11MG 1

PULMOZYME SOL 1MG/ML 1

LANTUS SOLOS INJ 100/ML 8

HUMALOG INJ 100/ML 6

VICTOZA INJ 18MG/3ML 4

ELIQUIS TAB 5MG 6

ADVAIR DISKU AER 250/50 7

GENVOYA TAB 1

JARDIANCE TAB 10MG 4

VIMPAT TAB 150MG 2

TALTZ INJ 80MG/ML 1

TRUVADA TAB 200‐300 1

HUMALOG KWIK INJ 100/ML 4

SEVELAMER TAB 800MG 1

JANUVIA TAB 100MG 2

SYMBICORT AER 160‐4.5 8

LIDOCAINE CRE TETRACAI 1

TRULICITY INJ 0.75/0.5 2

LAMICTAL TAB 200MG 1

ACITRETIN CAP 25MG 2

DULOXETINE CAP 60MG 13

BRILINTA TAB 90MG 2

TRULICITY INJ 1.5/0.5 2

FLOVENT HFA AER 220MCG 3

XIIDRA DRO 5% 2

BREO ELLIPTA INH 200‐25 2

LANTUS INJ 100/ML 3

AMITIZA CAP 24MCG 3

RIZATRIPTAN TAB 10MG 5

WELCHOL PAK 3.75GM 1

TROKENDI XR CAP 100MG 1

JARDIANCE TAB 25MG 3


VESICARE TAB 5MG 2

SERTRALINE TAB 100MG 24

VICTOZA INJ 18MG/3ML 1

CALCIPOTRIEN CRE 0.005% 1

BYETTA INJ 5MCG 1

6

ENTRESTO TAB 49‐51MG 1

ARIPIPRAZOLE TAB 15MG 1

MONTELUKAST TAB 10MG 29

MODAFINIL TAB 200MG 1

LAMICTAL TAB 100MG 1

BUPROPN HCL TAB 300MG XL 9

ROSUVASTATIN TAB 10MG 6

DEXILANT CAP 60MG DR 2

SOOLANTRA CRE 1% 3

VYVANSE CAP 30MG 3

CHANTIX TAB 1MG 2

WELCHOL TAB 625MG 2

PREMARIN VAG CRE 0.625MG 7

CAPECITABINE TAB 500MG 1

EPINEPHRINE INJ 0.3MG 9

VYVANSE CAP 50MG 2

FLUOXETINE TAB 20MG 2

VIMPAT TAB 200MG 1


DULOXETINE CAP 30MG 4

VENTOLIN HFA AER 40

BREO ELLIPTA INH 100‐25 1

ONETOUCH TES ULTRA BL 7


JANUVIA TAB 100MG 2

JANUVIA TAB 50MG 1

XARELTO TAB 20MG 1

ELETRIPTAN HBR 40 MG TABLET 2

XULANE DIS 150‐35 2

ESTRADIOL CRE 0.01% 7

VYVANSE CAP 40MG 1

DEXMETHYLPHE CAP 10MG ER 1

JANUVIA TAB 100MG 1

LEVEMIR INJ 1

SPRINTEC 28 TAB 28 DAY 12

MYRBETRIQ TAB 25MG 1

YUVAFEM TAB 10MCG 4

COREG CR CAP 20MG 1

TRINTELLIX TAB 20MG 1

ATORVASTATIN TAB 10MG 11

SUBOXONE MIS 8‐2MG 2

NEXIUM CAP 40MG 1

LINZESS CAP 290MCG 1

SUMATRIPTAN INJ 6MG/0.5 1

SERTRALINE TAB 50MG 32


ARIPIPRAZOLE TAB 15MG 1

7

METHYLPHENID TAB 18MG ER 1

MODAFINIL TAB 200MG 1

JANUMET TAB 50‐1000 1

ASHLYNA TAB 3

VENLAFAXINE CAP 150MG ER 8

VIMPAT TAB 100MG 1

CHANTIX PAK 1MG 2

8

ORANGE COUNTY AND SCHOOLS - Total AccountCurrent Period: Feb 2018 - Jan 2019Provider Tax ID Provider Name Provider City

Provider State Provider Zip Code Provider Specialty Type Claims Amount Visit Count Services

In Your Network?Y- Yes N - No

546001796 UVA HEALTH SCIENCES CTR CHARLOTTESVILLE VA 22908 General Acute Care Hospital $1,031,339.05 451 1,519

540622371 CULPEPER REGIONAL HOSPITAL CULPEPER VA 22701 General Acute Care Hospital $478,752.29 251 814

540261840 SENTARA MARTHA JEFFERSON HOSPIT CHARLOTTESVILLE VA 22911 General Acute Care Hospital $417,140.92 257 995

546001796 UVA HEALTH SCIENCES CTR CHARLOTTESVLE VA 22908 General Acute Care Hospital $232,720.16 168 581

540519577 MARY WASHINGTON HOSPITAL INC FREDERICKSBURG VA 22401 General Acute Care Hospital $215,950.95 27 296


540261840 MARTHA JEFFERSON HOSPITAL CHARLOTTESVILLE VA 22901 General Acute Care Hospital $108,730.65 45 178

546001796 RECTOR & VISITORS OF THE UNIVERSI ATLANTA GA 30384 General Acute Care Hospital $104,984.19 52 213

540261840 SENTARA MARTHA JEFFERSON HOSPIT CHARLOTTESVLE VA 22911 General Acute Care Hospital $102,875.79 111 440

540515611 RICHMOND VAMC RICHMOND VA 23249 General Acute Care Hospital $76,634.29 8 43

621323090 CHARLOTTESVILLE DIALYSIS CHARLOTTESVILLE VA 22911 End-Stage Renal Disease (ESR $48,401.10 136 370

061760818 SPOTSYLVANIA REGIONAL MEDICAL FREDERICKSBUR VA 22408 General Acute Care Hospital $41,472.57 12 155

061760818 SPOTSYLVANIA REGIONAL MEDICAL FREDERICKSBURG VA 22408 General Acute Care Hospital $37,712.08 6 86

540519577 MARY WASHINGTON HOSPITAL INC FREDERICKSBRG VA 22401 General Acute Care Hospital $37,622.21 18 224

621323090 CHARLOTTESVILLE DIALYSIS CHARLOTTESVILLE VA 22911 End-Stage Renal Disease (ESR $36,678.41 95 281


540519577 MARY WASHINGTON HOSPITAL INC FREDERICKSBURG VA 22401 General Acute Care Hospital $28,200.46 8 80

133757370 LABORATORY CORPORATION OF AMERICA BURLINGTON NC 27215 Clinical Medical Laboratory $18,083.95 679 2,359

541820164 ORANGE FAMILY PHYSICIANS ORANGE VA 22960 Family Medicine $17,999.90 155 293

050504251 CVS CAREMARK SPECIALTY PHARMACY MONROEVILLE PA 15146 Managed Care Organization Pha $17,458.76 3 3

237133975 CHESAPEAKE GENERAL HOSPITAL CHESAPEAKE VA 23320 General Acute Care Hospital $15,891.14 0 0


541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Surgery $15,271.79 3 10

841300129 CORAM ALTERNATE SITE SERVICES INC RICHMOND VA 23228 Pharmacy $14,825.50 4 9

030424725 UVA IMAGING LLC CHARLOTTESVILLE VA 22903 Radiology $14,597.25 24 37

540715569 CENTRA HEALTH INC LYNCHBURG VA 24503 General Acute Care Hospital $14,589.94 0 10


541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Surgery $12,887.75 16 27

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Family Medicine $12,487.89 70 106



050537367 ALBEMARLE ANESTHESIA PLC CHARLOTTESVILLE VA 22911 Anesthesiology $11,527.30 12 14

752967162 CENTRAL VIRGINIA SURGI CENTER LP FREDERICKSBRG VA 22401 Ambulatory Surgical $10,739.75 3 6

204431516 RAPIDAN MEDICAL CENTER LOCUST GROVE VA 22508 Family Medicine $10,619.40 132 181

841300129 CORAM ALTERNATE SITE SERVICES INC RICHMOND VA 23228 Home Infusion $10,125.00 4 6


541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Plastic Surgery $9,168.03 5 9

061760818 SPOTSYLVANIA MEDICAL CENTER ATLANTA GA 30384 General Acute Care Hospital $8,997.88 2 31

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G ORANGE VA 22960 Internal Medicine $8,610.30 44 50

030424725 UVA IMAGING LLC ZION CROSSRDS VA 22942 Radiology $8,572.52 9 19

752967162 CENTRAL VIRGINIA SURGI CENTER LP FREDERICKSBURG VA 22401 Ambulatory Surgical $8,540.56 2 4

541975624 CULPEPER SURGERY CENTER CULPEPER VA 22701 Ambulatory Surgical $8,530.22 3 4


520962668 EMERGENCY MEDICINE ASSOCIATES PA PC CULPEPER VA 22701 Emergency Medicine $8,313.24 51 58

133757370 LABORATORY CORPORATION OF AMERICA ST PAUL MN 27216 Clinical Medical Laboratory $7,792.00 298 1,058

541823804 HOMECHOICE PARTNERS ASHLAND VA 23005 Home Infusion $7,729.20 18 26

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Internal Medicine $7,719.43 30 30


541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Vascular & Interventional Radiol $6,975.06 29 37

541124769 BABAR, AHMAD M LOCUST GROVE VA 22508 Family Medicine $6,950.01 27 49

621098942 AMERICAN ANESTHESIOLOGY OF VIRGINIA FREDERICKSBURG VA 22401 Anesthesiology $6,926.32 9 17

541005347 JEFFERSON OBSTETRICS AND GYNECOLOGY CHARLOTTESVILLE VA 22911 Obstetrics & Gynecology $6,863.03 49 69

562322548 FREDERICKSBURG AMBULATORY SURGERY C FREDERICKSBURG VA 22401 Ambulatory Surgical $6,848.52 2 3

223647673 SOUTHEASTERN PHYSICAL THERAPY INC VIRGINIA BEACH VA 23464 Physical Therapist $6,846.07 174 308

540261840 SENTARA MARTHA JEFFERSON OUTPAT CHARLOTTESVILLE VA 22911 Ambulatory Surgical $6,816.68 4 6

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVLE VA 22906 Internal Medicine $6,450.45 29 37

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVLE VA 22906 Family Medicine $6,360.04 40 63

541194045 CHARLOTTESVILLE GASTROENTEROLOGY AS CHARLOTTESVILLE VA 22902 Anesthesiology $6,264.13 14 57

541124769 SINGLA, ANUJ M CHARLOTTESVILLE VA 22903 Orthopaedic Surgery $6,219.75 3 7

030424725 UVA IMAGING LLC CHARLOTTESVILLE VA 22903 Radiology $6,197.35 18 26


541759643 UROSURGICAL CENTER OF RICHMOND RICHMOND VA 23255 Ambulatory Surgical $6,108.55 2 2


050537367 ALBEMARLE ANESTHESIA PLC CHARLOTTESVILLE VA 22911 Anesthesiology $5,763.19 8 9

541735561 ADVANCED TECHNOLOGIES IN HOME CARE RICHMOND VA 23230 Home Health $5,402.00 45 55

540883833 DOGWOOD VILLAGE OF ORANGE COUNT ORANGE VA 22960 Skilled Nursing Facility $5,400.00 0 8

540261840 SENTARA MARTHA JEFFERSON OUTPAT CHARLOTTESVILLE VA 22911 Ambulatory Surgical $5,260.79 3 4

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Anesthesiology $5,129.56 1 7

9

571215162 VIRGINIA BREAST CARE PLC CHARLOTTESVILLE VA 22911 Surgery $5,102.43 13 23

541441458 HEMATOLOGY ONCOLOGY ASSOC OF FREDER FREDERICKSBRG VA 22408 Hematology & Oncology $5,093.58 9 55

546001796 UVA CANCER CENTER PETER JEFFER CHARLOTTESVLE VA 22911 Oncology $5,081.79 3 8

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Orthopaedic Surgery $5,048.11 7 9


204431516 RAPIDAN MEDICAL CENTER LOCUST GROVE VA 22508 Family Medicine $4,938.01 62 80

541364028 IMAGING CENTER FOR WOMEN FREDERICKSBURG VA 22401 Diagnostic Radiology $4,924.29 13 25

540853898 POTOMAC HOSPITAL WOODBRIDGE VA 22191 General Acute Care Hospital $4,750.41 6 12

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Neurological Surgery $4,748.66 0 0

261126956 SENTARA MJ ORTHOPAEDICS CHARLOTTESVILLE VA 22911 Orthopaedic Surgery $4,681.45 14 21

841300129 CORAM CVS SPECIALTY INFUSION RICHMOND VA 23228 Specialty Pharmacy $4,664.50 2 3

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Urology $4,609.07 7 11

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Pediatrics $4,603.83 13 36




134316364 STAFFORD HOSPITAL STAFFORD VA 22554 General Acute Care Hospital $4,421.83 5 29

272309234 WELLSPRING SPECIALTY CLINIC CULPEPER VA 22701 Internal Medicine $4,368.30 29 41


541194045 CHARLOTTESVILLE GASTROENTEROLOGY AS CHARLOTTESVILLE VA 22902 Internal Medicine $4,276.84 11 12

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVLE VA 22906 Anesthesiology $4,269.18 1 5


541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Obstetrics & Gynecology $4,131.63 2 4


590624462 MORTON PLANT REHAB CENTER ATLANTA GA 30384 Not Applicable $3,922.67 1 10

113656095 MONTICELLO COMMUNITY SURGERY CENTER CHARLOTTESVILLE VA 22901 Ambulatory Surgical $3,817.57 2 5



463107896 FAUQUIER HOSPITAL WARRENTON VA 20186 General Acute Care Hospital $3,714.24 33 34

522043450 MEP HEALTH LLC CHARLOTTESVILLE VA 22911 Emergency Medicine $3,665.23 24 29

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVLE VA 22906 Surgery $3,648.66 1 1



341650951 EDGEPARK MEDICAL SUPPLIES TWINSBURG OH 44087 Durable Medical Equipment & M $3,635.08 15 15

546001486 COUNTY OF ORANGE FIRE AND EMS ORANGE VA 22960 Land Transport $3,608.66 8 16

541124769 MORGAN, RAYMOND F CHARLOTTESVILLE VA 22908 Plastic and Reconstructive Surg $3,604.12 2 2

541651413 EDWARD T WOLANSKI MD PC CHARLOTTESVILLE VA 22911 Obstetrics & Gynecology $3,603.26 30 34


541820164 CHARLOTTESVILLE GYNECOLOGY SPEC CHARLOTTESVILLE VA 22911 Obstetrics & Gynecology $3,549.46 10 22

030389866 PSYCHOLOGICAL AND LIFE SKILLS ASSOC FREDERICKSBURG VA 22401 Social Worker $3,538.68 51 51

223647673 SOUTHEASTERN THERAPY FOR KIDS VIRGINIA BCH VA 23464 Physical Therapist $3,514.16 158 510

541394583 VIRGINIA ORTHOPAEDIC CENTER PC CULPEPER VA 22701 Orthopaedic Surgery $3,506.03 22 27

270271140 VISTA EYE SPECIALISTS PC FREDERICKSBURG VA 22407 Ophthalmology $3,500.45 10 16



546001796 UVA HEALTH SCIENCES CTR CHARLOTTESVLE VA 22908 End-Stage Renal Disease (ESR $3,460.29 7 11

621098942 AMERICAN ANESTHESIOLOGY OF VA ATLANTA GA 30353 Anesthesiology $3,457.55 4 12

521205921 HOSPICE OF THE PIEDMONT INC CHARLOTTESVILLE VA 22911 Hospice Care, Community Base $3,436.50 2 15


571172752 MARY WASHINGTON MEDICAL GROUP HOSP FREDERICKSBURG VA 22401 Internal Medicine $3,364.87 36 36

133757370 LABORATORY CORPORATION OF AMERICA RESEARCH TRIANGLNC 27709 Clinical Medical Laboratory $3,347.96 13 19

550359755 JEFFERSON MEMORIAL HOSPITAL RANSON WV 25438 Critical Access $3,318.86 1 23

540519577 MARY WASHINGTON HOSPITAL INC FREDERICKSBURG VA 22401 Psychiatric Unit $3,318.00 2 7


261126956 SENTARA MARTHA JEFFERSON MEDICA CHARLOTTESVILLE VA 22911 Internal Medicine $3,222.33 24 30


540972713 RADIOLOGIC ASSOCIATES OF FREDERICKS FREDERICKSBURG VA 22401 Vascular & Interventional Radiol $3,152.67 25 43


540261840 SENTARA MARTHA JEFFERSON OUTPAT CHARLOTTESVLE VA 22911 Ambulatory Surgical $3,128.23 2 3

742152396 KCI USA INC SALEM VA 24153 Durable Medical Equipment & M $3,120.00 1 1

261126956 SENTARA MARTHA JEFFERSON INPATI CHARLOTTESVILLE VA 22911 Internal Medicine $3,094.34 26 26

541124769 BARRETT, MATTHEW J CHARLOTTESVILLE VA 22903 Neurology $3,087.26 2 6

540261840 SENTARA MARTHA JEFFERSON HOSPIT CHARLOTTESVLE VA 22911 Children $3,067.55 2 6

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVLE VA 22906 Orthopaedic Surgery $2,919.39 3 5

030424725 UVA IMAGING LLC CHARLOTTESVLE VA 22903 Radiology $2,860.07 9 12

541364028 MEDICAL IMAGING OF FREDERICKSBURG FREDERICKSBURG VA 22401 Diagnostic Radiology $2,851.91 8 11


455200486 ELITE WOMEN'S HEALTH INC FREDERICKSBURG VA 22401 Obstetrics & Gynecology $2,820.06 8 9


540793767 BON SECOURS ST MARY'S HOSPITAL OF RICHMOND VA 23226 General Acute Care Hospital $2,797.62 1 11

272309234 WELLSPRING HEALTH SERVICES CULPEPER VA 22701 Anesthesiology $2,796.00 5 9

453123110 MEDEXPRESS URGENT CARE CULPEPER CULPEPER VA 22701 Undersea and Hyperbaric Medic $2,788.00 36 91

274413343 CHARLOTTESVILLE ALLERGY AND RESPIRA CHARLOTTESVILLE VA 22911 Allergy & Immunology $2,778.77 37 86

10

541124769 DIDUCH, DAVID R CHARLOTTESVILLE VA 22903 Orthopaedic Surgery $2,756.45 4 5

541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Anatomic Pathology & Clinical P $2,724.81 5 7

030424725 UVA IMAGING AT NORTHRIDGE CHARLOTTESVLE VA 22903 Radiology $2,717.47 2 3

900136825 FREDERICKSBURG EMERGENCY MEDICAL AL FREDERICKSBURG VA 22401 Emergency Medicine $2,716.95 13 15



201718482 GASTROENTEROLOGY ASSOCIATES OF FRED FREDERICKSBURG VA 22401 Gastroenterology $2,661.76 9 10

201718482 GASTROENTEROLOGY ASSOCIATES OF FRED FREDERICKSBRG VA 22401 Gastroenterology $2,654.99 5 8


562322548 FREDERICKSBURG AMBULATORY SURGERY C FREDERICKSBURG VA 22401 Ambulatory Surgical $2,633.90 0 0


541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Neurological Surgery $2,599.88 1 1


541468187 CENTRAL VIRGINIA OB GYN GROUP PC FREDERICKSBURG VA 22401 Obstetrics & Gynecology $2,578.60 10 12


050537367 ALBEMARLE ANESTHESIA PLC WILMINGTON DE 19850 Anesthesiology $2,562.56 6 5


541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVILLE VA 22908 Emergency Medicine $2,513.02 12 16

800101113 THE VIRGINIA RETINA CENTER WARRENTON VA 20186 Ophthalmology $2,505.95 5 15


540515611 RICHMOND VAMC RICHMOND VA 23249 Internal Medicine $2,479.71 7 11

541124769 ELMORE, BRETT J CHARLOTTESVILLE VA 22908 Anesthesiology $2,453.66 1 2

223647673 SOUTHEASTERN THERAPY FOR KIDS VIRGINIA BEACH VA 23464 Physical Therapist $2,440.39 76 106




201718482 MENON, RADHA V FREDERICKSBURG VA 22401 Gastroenterology $2,400.66 5 9


541005347 JEFFERSON OBSTETRICS AND GYNECOLOGY CHARLOTTESVLE VA 22911 Obstetrics & Gynecology $2,354.96 12 19

541629528 CENTRAL VIRGINIA RADIATION ONCOLOGI CHARLOTTESVILLE VA 22911 Neuroradiology $2,338.11 11 18


540519577 FREESTANDING EMERGENCY DEPT FREDERICKSBRG VA 22408 General Acute Care Hospital $2,325.33 1 28

546001796 CONTINUUM HOME HEALTH CHARLOTTESVILLE VA 22903 Home Health $2,310.00 20 22


541902611 PEDIATRIC ASSOCIATES OF CHARLOTTESV CHARLOTTESVILLE VA 22903 Pediatrics $2,303.08 8 35


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262546097 RAMIA J RONY J BANGOR ME 04401 Surgery $2,262.64 2 3


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261486043 ROUTE 20/20 VISION CENTER LOCUST GROVE VA 22508 Optometrist $2,195.18 16 37

364615049 NEXTCARE URGENT CARE FREDERICKSBURG VA 22407 Adolescent Medicine $2,166.50 26 42


541124769 RICH, GEORGE F CHARLOTTESVILLE VA 22908 Anesthesiology $2,164.01 1 2

541542618 PSYCHOLOGY ASSOCIATES PC ORANGE VA 22960 Clinical $2,160.00 26 26


541005347 JEFFERSON OBSTETRICS AND GYNECOLOGY CHARLOTTESVLE VA 22911 Obstetrics & Gynecology $2,132.47 8 14

900981987 GAF SEDATION PLLC FREDERICKSBURG VA 22401 Anesthesiology $2,130.00 5 5

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541394583 REIGEL, CRAIG A CULPEPER VA 22701 Sports Medicine $2,087.18 13 16


261126956 SENTARA MARTHA JEFFERSON MEDICA CHARLOTTESVILLE VA 22911 Neurology $2,079.14 2 2

541902611 BOUBER, GEMILA H CHARLOTTESVILLE VA 22911 Pediatrics $2,051.04 7 31

743233743 MARAGH DERMATOLOGY PLLC ASHBURN VA 20147 Dermatology $2,047.18 8 18


301015677 MYERS DENISE CRYSTAL RUCKERSVILLE VA 22968 Professional $2,035.00 31 31

261126956 SENTARA MARTHA JEFFERSON NEUROS CHARLOTTESVILLE VA 22911 Neurological Surgery $2,034.30 2 3

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11

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541686955 CHARLOTTESVILLE PATHOLOGY ASSOCIATE CHARLOTTESVILLE VA 22911 Anatomic Pathology & Clinical P $1,909.68 18 19

540888075 RADIOLOGY ASSOCIATES OF RICHMON N CHESTERFIELD VA 23235 Vascular & Interventional Radiol $1,893.39 13 20

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522043450 MEP HEALTH LLC CHARLOTTESVILLE VA 22911 Emergency Medicine $1,833.87 16 16

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621474680 AMERICAN HOMEPATIENT CHARLOTTESVILLE VA 22902 Durable Medical Equipment & M $1,830.85 21 78

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546001796 UVA ORANGE MEDICAL CENTER ORANGE VA 22960 Radiology $1,777.50 34 70


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621113733 HENRICO DOCTORS HOSPITAL RICHMOND VA 23229 General Acute Care Hospital $1,701.55 2 3

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292427930 WILLIAMS BETH MARY WARRENTON VA 20186 Social Worker $1,625.00 25 25

272029245 INNOVATIVE PHYSICAL THERAPY LLC WARRENTON VA 20186 Physical Therapist $1,620.00 27 27

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541441458 HEMATOLOGY ONCOLOGY ASSOC OF FREDER FREDERICKSBURG VA 22408 Hematology & Oncology $1,578.43 6 25


546001486 COUNTY OF ORANGE FIRE AND EMS ORANGE VA 22960 Land Transport $1,568.10 3 6


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541194045 MANNEM, ARUN R CHARLOTTESVILLE VA 22902 Specialist $1,521.44 4 4

540892025 UROLOGICAL ASSOCIATES LTD CHARLOTTESVILLE VA 22911 Urology $1,519.46 8 24

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12

050537367 ALBEMARLE ANESTHESIA PLC CHARLOTTESVLE VA 22911 Anesthesiology $1,494.40 2 2

541651413 EDWARD T WOLANSKI MD PC CHARLOTTESVLE VA 22911 Obstetrics & Gynecology $1,492.07 15 18

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870514323 MYRIAD GENETIC LABORATORIES INC SALT LAKE CTY UT 84108 Clinical Medical Laboratory $1,422.08 1 2

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341650951 EDGEPARK MEDICAL SUPPLIES TWINSBURG OH 44087 Durable Medical Equipment & M $1,394.62 3 5

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541194045 CHARLOTTESVILLE GASTROENTEROLOG CHARLOTTESVILLE VA 22902 Specialist $1,387.67 3 12

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044360466 O'MEARA FAIRBANK MARY CULPEPER VA 22701 Social Worker $1,365.00 21 21

113656095 MONTICELLO COMMUNITY SURGERY CENTER CHARLOTTESVLE VA 22901 Ambulatory Surgical $1,360.57 1 2


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205068722 ABC PEDIATRICS PRACTICE PLLC FREDERICKSBRG VA 22401 Pediatrics $1,350.57 8 25

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272101163 SMITH W CAROLYN ORANGE VA 22960 Clinical $1,330.00 18 18

540892025 UROLOGICAL ASSOCIATES LTD CHARLOTTESVILLE VA 22911 Urology $1,325.31 7 7

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541238674 ABC HEALTH CARE HAMPTON VA 23666 Durable Medical Equipment & M $1,306.25 18 45


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13

540553805 CARILION NEW RIVER VALLEY MEDICAL C CHRISTIANSBRG VA 24073 General Acute Care Hospital $1,171.60 1 1


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14

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15



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17


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271107633 FIG TREE THERAPY LLC RICHMOND VA 23236 Social Worker $540.00 9 9

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821237967 HEALTHY MINDS THERAPY PLLC VA 22407 Counselor $535.00 9 9

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18

541300563 CHARLOTTESVILLE RADIOLOGY LTD STATE COLLEGE PA 16804 Diagnostic Radiology $489.06 15 34

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19

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541394583 ALLEN, BENJAMIN F CULPEPER VA 22701 Orthopaedic Surgery $98.20 2 2

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541124769 UNIVERSITY OF VIRGINIA PHYSICIANS G CHARLOTTESVLE VA 22906 Urology $97.37 1 1






262546097 MARY WASHINGTON MEDICAL GROUP-N FREDERICKSBRG VA 22401 Neurological Surgery $96.44 3 3

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421624074 WESTSIDE MEDICAL PC FREDERICKSBURG VA 22407 Adolescent Medicine $95.93 2 2




541999912 PREFERRED PEDIATRICS AT LEES HI FREDERICKSBURG VA 22408 Pediatrics $95.32 1 2

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540885859 ORTHOVIRGINIA INC LYNCHBURG VA 24501 Orthopaedic Surgery $94.62 1 1

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541124769 REMBOLD, CHRISTOPHE M CHARLOTTESVILLE VA 22908 Cardiovascular Disease $91.18 3 4




262637265 BASIC T STEPHEN CHARLOTTESVLE VA 22903 Optometrist $90.94 1 2

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32



621417586 PULMONARY ASSOCIATES OF FREDERICKSB FREDERICKSBRG VA 22401 Pulmonary Disease $86.78 1 1

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736017987 STATE OF OKLAHOMA OKLAHOMA CITY OK 73105 Not Applicable $84.24 1 1

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33


261419327 HALE NICHOLLS RHONWEN RICHMOND VA 23229 Social Worker $75.00 1 1



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541080266 VIRGINIA RADIOLOGY ASSOCIATES PC WARRENTON VA 20186 Vascular & Interventional Radiol $68.09 1 2

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450496855 FRAZIER T FORTENBERRY MD PLC CHARLOTTESVLE VA 22911 Urology $65.69 2 5



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823613529 DOANE E ADAM ORANGE VA 22960 Social Worker $65.00 1 1

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043750548 VALLEY PLASTIC SURGERY PC HARRISONBURG VA 22801 Plastic Surgery $63.46 1 1

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141890021 VON ELTEN W STEVEN WARRENTON VA 20186 Family Medicine $62.90 1 2

34

571215162 VIRGINIA BREAST CARE PLC CHARLOTTESVILLE VA 22911 Surgery $62.75 1 1

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541384938 VIRGINIA CENTER FOR FAMILY RELATION CHARLOTTESVLE VA 22901 Professional $60.00 1 1

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35

541242022 PATHOLOGY ASSOCIATES OF FREDERICKSB FREDERICKSBURG VA 22401 Anatomic Pathology & Clinical P $52.49 2 2


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262546097 MARY WASHINGTON MEDICAL GROUP KING GEORGE VA 22485 Family Medicine $47.48 1 1

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541238674 AIRWAY BREATHING COMPANY HAMPTON VA 23666 Durable Medical Equipment & M $43.59 1 1

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541854196 COLLINS J ROBERT CHARLOTTESVILLE VA 22901 Oral and Maxillofacial Surgery $42.50 1 1

36


475176632 FAMILY FOOT AND ANKLE CENTER LLC FREDERICKSBURG VA 22401 Podiatrist $41.29 1 3

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540981418 BLUE RIDGE RADIOLOGISTS INC STAUNTON VA 24401 Vascular & Interventional Radiol $35.78 1 3


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541581185 MCV ASSOCIATED PHYSICIANS RICHMOND VA 23291 Diagnostic Radiology $0.00 1 1

263066313 NEB EXPRESS AND CPAP STAT GLEN ALLEN VA 23058 Durable Medical Equipment & M $0.00 1 6

811055337 MICHELE NEVERDON FREDERICKSBRG VA 22408 Mental Health $0.00 1 1

811055337 MICHELE NEVERDON FREDERICKSBRG VA 22401 Mental Health $0.00 1 1

540793767 NGO, MATTHEW M RICHMOND VA 23230 Clinical Cardiac Electrophysiolog $0.00 1 1

541124769 NGUYEN, JONATHAN V CHARLOTTESVILLE VA 22908 Diagnostic Radiology $0.00 1 1

770328116 NOVASOM INC BELFAST ME 04915 Sleep Disorder Diagnostic $0.00 1 1

999999999 NPI REJECT CLAIMS RICHMOND VA 23279 Family Medicine $0.00 0 0

541124769 ONOFRIO, ANTHONY M CHARLOTTESVILLE VA 22908 Diagnostic Radiology $0.00 1 1

261126956 O'REILLY, SEAN P CHARLOTTESVILLE VA 22911 Pulmonary Disease $0.00 2 2

231352160 BRYN MAWR HOSPITAL MEDIGAP ONLY BRYN MAWR PA 19010 Not Applicable $0.00 0 0

113667807 IMPLANTABLE PROVIDER GROUP INC ALPHARETTA GA 30009 Not Applicable $0.00 0 0

621114867 LECONTE MEDICAL CENTER SEVIERVILLE TN 37862 General Acute Care Hospital $0.00 1 2

462421622 LONGLEAF SURGERY CENTER LLC NEW PORT RICHIE FL 34655 Not Applicable $0.00 0 0

463652208 MUNROE HMA HOSPITAL, LLC ATLANTA GA 34471 Not Applicable $0.00 1 1

590872594 SOUTH MIAMI HOSPITAL INC MIAMI FL 33102 Not Applicable $0.00 0 0

030424725 UNIVERSITY OF VIRGINIA IM COLUMBUS GA 31902 Not Applicable $0.00 0 0

611197638 HOLZKNECHT, ROBERT CHICAGO IL 60673 Family Medicine $0.00 1 1

261126956 OWENS, LEWIS V CHARLOTTESVILLE VA 22911 Vascular Surgery $0.00 1 1


541124769 PATEL, PRANAV D CULPEPER VA 22701 Internal Medicine $0.00 1 1

541124769 PATEL, SOHIL H CHARLOTTESVILLE VA 22908 Diagnostic Radiology $0.00 1 1

810576059 PATHGROUP LABS LLC-COMMERCIAL NASHVILLE TN 37217 Clinical Medical Laboratory $0.00 1 1

541669672 PATIENT FIRST SHORT PUMP RICHMOND VA 23233 Urgent Care $0.00 1 2






043633263 WACCAMAW COMMUNITY HOSPITAL GEORGETOWN SC 29442 General Acute Care Hospital $0.00 1 1

42

270898372 PETERSON, CELESTE KINGSPORT TN 37660 Family Medicine $0.00 1 2

541048105 PFEFFER, DAVID M WARRENTON VA 20186 Urology $0.00 1 3


541508180 PIEDMONT EMERGENCY CONSULTANTS DAYTONA BEACH FL 32120 Emergency Medicine $0.00 1 2

010813974 POWERS, PAIGE L CHARLOTTESVILLE VA 22911 Otolaryngology $0.00 1 3

205779325 PREMIER PHYSICAL THERAPY FORT PIERCE FL 64950 Physical Therapy $0.00 9 9

463521146 GAERTNER PSYCHIATRIC PC FREDERICKSBRG VA 22401 Psychiatry $0.00 3 3

273457392 PRW LABORATORIES TOLEDO OH 43614 Clinical Medical Laboratory $0.00 1 1

273457392 PRW LABORATORIES CHARLOTTESVILLE VA 22901 Clinical Medical Laboratory $0.00 1 1

061825701 QUALITY DME INC VIENNA VA 22180 Durable Medical Equipment & M $0.00 8 9

061825701 QUALITY DME INC FAIRFAX VA 22030 Durable Medical Equipment & M $0.00 0 0

520890739 QUEST DIAGNOSTICS INC BALTIMORE MD 21227 Clinical Medical Laboratory $0.00 0 0

541124769 QUIRK, CODY R CHARLOTTESVILLE VA 22908 Diagnostic Radiology $0.00 1 1

540972713 RADIOLOGIC ASSOC OF FREDBRG FREDERICKSBURG VA 22404 Radiology $0.00 1 1

460742530 RAFALA, CYNTHIA R CULPEPER VA 22701 Mental Health $0.00 2 2

460742530 RAFALA PROFESSIONAL COUNSELING SERV CULPEPER VA 22701 Mental Health $0.00 5 5



561249571 RAKES, GARY P CHARLOTTESVILLE VA 22911 Allergy & Immunology $0.00 2 3

546001796 THE RECTORS AND VISITORS OF THE UNIVERSITY OF VIRG ATLANTA GA 30384 Home Health $0.00 0 0

260003784 RIVERSIDE COUNSELING CENTER PLL FREDERICKSBRG VA 22405 Mental Health $0.00 4 4

261126956 RICE, HANNAH M RUCKERSVILLE VA 22968 Family Medicine $0.00 1 1

540887287 RICHMOND, MICHAEL D LOUISA VA 23093 Family Medicine $0.00 1 1

541124769 ROPP, ALAN M CHARLOTTESVILLE VA 22908 Diagnostic Radiology $0.00 1 1

570925228 SANDHILLS REGIONAL MED CENTE PINEHURST NC 28370 Clinical Medical Laboratory $0.00 1 1

270484506 OUTER BANKS PROF SERV LLC GREENVILLE NC 27835 Urgent Care $0.00 1 2

540897518 SARRAF, AMMAR A RICHMOND VA 23229 Oral and Maxillofacial Surgery $0.00 1 2


272309234 SCHENCK, MARCUS D MADISON VA 22727 Family Medicine $0.00 3 6

541053168 SCOTT, CHRISTOPHE M ORANGE VA 22960 Dermatology $0.00 4 5

261126956 SEALANDER, JOHN Y MADISON VA 22727 Family Medicine $0.00 2 8

540506331 SENTARA RMH MEDICAL CENTER HARRISONBURG VA 22801 General Acute Care Hospital $0.00 1 1

541699632 SHEMO JOHN P CHARLOTTESVILLE VA 22903 Psychiatry $0.00 8 16

541124769 SHILDKROT, YEVGENIY M CHARLOTTESVILLE VA 22908 Ophthalmology $0.00 1 1

540883363 SHORT, SHELLEY C MIDLOTHIAN VA 23112 Family Medicine $0.00 1 2



270484506 OUTER BANKS PROF SERV LLC GREENVILLE NC 27835 Urgent Care $0.00 1 1

611769285 SMITH, DIANA A FISHERSVILLE VA 22939 Psychiatry $0.00 1 3

541194045 SMITH, ELLIOT Z CHARLOTTESVILLE VA 22902 Gastroenterology $0.00 1 1


262531558 SNAP DIAGNOSTICS LLC WHEELING IL 60090 Pulmonary Disease $0.00 0 0


061760818 SPOTSYLVANIA MEDICAL CENTER INC FREDERICKSBURG VA 22408 Cardiovascular Disease $0.00 1 1

201360096 CENTRAL VIRGINIA ORAL AND FACIAL SU CHARLOTTESVLE VA 22901 Oral and Maxillofacial Surgery $0.00 1 6


541827389 SOUKOULIS, INES W CHARLOTTESVILLE VA 22911 Dermatology $0.00 1 1

541124769 SOUKOULIS, VICTOR M CHARLOTTESVILLE VA 22908 Cardiovascular Disease $0.00 1 1

541914801 SOUTHALL, ALGER R LOUISA VA 23093 Family Medicine $0.00 0 0

223647673 SPECTRUM PHYSICAL THERAPY ORANGE VA 22960 Physical Therapist $0.00 1 1



760763467 SARAH STADLER CHARLOTTESVLE VA 22902 VA $0.00 1 2

272309234 STEIN, CHARLES A MADISON VA 22727 Pediatrics $0.00 0 0


202265068 STEWART, RICHARD A CHARLOTTESVILLE VA 22901 Internal Medicine $0.00 1 1


542013472 ALBEMARLE DERMATOLOGY ASSOCIATES LL CHARLOTTESVLE VA 22901 Plastic and Reconstructive Surg $0.00 2 4

541203944 STUMP, LAURA E CHARLOTTESVILLE VA 22901 Family Medicine $0.00 1 3

112981029 SUNRISE MEDICAL LAB HICKSVILLE NY 11801 Clinical Medical Laboratory $0.00 0 0


541677022 TATINENI, SHANTHI S RICHMOND VA 23233 Family Medicine $0.00 1 4

541905158 THE PEDIATRIC CONNECTION INC RICHMOND VA 23224 Durable Medical Equipment & M $0.00 1 1

464480016 J ANDERSON THOMSON JR MD PLC CHARLOTTESVILLE VA 22903 Psychiatry $0.00 1 1

464480016 THOMSON, JAMES A CHARLOTTESVILLE VA 22903 Psychiatry $0.00 0 0

541399840 TIDEWATER PHYSICAL THERAPY BALTIMORE MD 21279 Physical Therapist $0.00 3 3




201360096 CENTRAL VIRGINIA ORAL AND FACIAL SU CHARLOTTESVLE VA 22901 Oral and Maxillofacial Surgery $0.00 1 2

541124769 TROWBRIDGE, ELISA R CHARLOTTESVILLE VA 22908 Obstetrics & Gynecology $0.00 1 1

611014882 SHUMWAY, BRIAN S LOUISVILLE KY 40202 Clinical Medical Laboratory $0.00 1 1

541124769 UNIVERSITY OF VA PHYSICIANS GROUP WAYNESBORO VA 22980 Multi-Specialty $0.00 1 1

43

202923324 URGENT CARE CTR OF SOUTHWEST CHARLOTTE NC 28201 Urgent Care $0.00 1 3

540622371 UVA CULPEPER HOSPITAL CULPEPER VA 22701 Clinical Medical Laboratory $0.00 0 0

541124769 VERGALES, JEFFREY E CHARLOTTESVILLE VA 22908 Pediatrics $0.00 1 1

261126956 VICTORIA L VASTINE MD CHARLOTTESVILLE VA 22911 Plastic Surgery $0.00 1 1

270898372 VINES, GREGORY KINGSPORT TN 37663 Family Medicine $0.00 0 0

541831932 VIRGINIA LABORATORY SERVICES LL CULPEPER VA 22701 Anatomic Pathology & Clinical P $0.00 3 4


205607531 VU, ANH D FREDERICKSBURG VA 22408 Cardiovascular Disease $0.00 1 1

043633263 WACCAMAW COMMUNITY HOSPITAL GEORGETOWN SC 29442 General Acute Care Hospital $0.00 1 4

541237939 WALSH, HELEN Y SEVEN HILLS OH 44131 Not Applicable $0.00 1 1

570825282 GEORGETOWN RADIOLOGY CHARLOTTE NC 28260 Diagnostic Radiology $0.00 1 2

250969492 WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH PA 15212 Multi-Specialty $0.00 1 4

541441458 WHITEHURST, MATTHEW T FREDERICKSBURG VA 22408 Hematology & Oncology $0.00 0 0


541124769 WILSON, ALIYA L MADISON VA 22727 Primary Care $0.00 2 3




540505973 VIRGINIA LEAGUE FOR PLANNED PARENTH RICHMOND VA 23221 Multi-Specialty $0.00 1 2




201581237 INTOTAL HEALTH LLC FALLS CHURCH VA 22042 General Practice ($30.63) 1 1

541356687 HEALTHKEEPERS INC INDIANAPOLIS IN 46204 General Practice ($42.70) 0 0

541765987 ORTHOPEDIC SPECIALTY CLINIC LTD FREDERICKSBURG VA 22401 Orthopaedic Surgery ($62.01) 0 0

540519577 GAERTNER, WILLIAM R HENRICO VA 23233 Psychiatry ($76.50) -1 -1

203639329 CENTRA EMERGENCY PROFESSIONAL LYNCHBURG VA 24501 Emergency Medicine ($107.57) 0 0

200426378 AMERICAS HEALTHCARE AT HOME INC BALTIMORE MD 21227 Durable Medical Equipment & M ($120.96) 0 0

540715569 CENTRA HEALTH INC LYNCHBURG VA 24503 General Acute Care Hospital ($527.11) 0 0

540261840 MARTHA JEFFERSON HOSPITAL CHARLOTTESVLE VA 22902 Not Applicable ($714.05) 1 0

941196176 ALTA BATES MEDICAL CENTER PASADENA CA 91185 Not Applicable ($3,841.80) -1 -2

44

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RFP #2019-17 Addendum #3 – Pharmacy and Provider ...

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